10D0859755 CLIA NUMBER - NORTH PALM BEACH DIALYSIS CENTER

Laboratory Demographics

CLIA Number: 10D0859755

Facility Name: NORTH PALM BEACH DIALYSIS CENTER

Facility Address:
2841 PGA BLVD
PALM BEACH GARDENS, FL
ZIP 33410
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Facility Phone Number: 561 772-8700

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1134183908

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0859755
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	NORTH PALM BEACH DIALYSIS CENTER
Street	2841 PGA BLVD
City	PALM BEACH GARDENS
State	FL
ZIP	33410
Phone	561 772-8700
CertificateType	4
CertificateEffectiveDate	2/7/2023
CertificateExpirationDate	2/6/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024